Meet the team: Solent QI, Side by Side
Associate Director of Research & Improvement
Solent NHS Trust
- England - Wessex
Engagement Lead for Academy of Research & Improvement / Clinical Specialist Physiotherapist in Neuro Rehabilitation
Solent NHS Trust
- England - Wessex
Director of Quality and Service Improvement
- England - National
Professor of Medical Sociology
University of Oxford
- England - Oxford
Clinical Lead for Quality Improvement Consultant Paediatrician
University Hospital Southampton NHS Foundation Trust
- England - Wessex
- Side by Side group (Patient leadership group) and the Youth Forum
What is the challenge your project is going to address and how does it connect to your chosen theme?
Hi Everyone – we are really excited and proud to have been shortlisted, and are working away in the background on developing this project further. I know there are lots of people who do peer training and development of patient training packages, so any ideas about what to do (and what not to do) would be very gratefully received. We’d like to share as many ideas and will be happy to share any training resources and stories as they evolve. Thanks for your support and help..
We’ve amended this submission following many conversations with colleagues and patient QI leaders, and further exploration of peer support/ co-production literature – In essence, we have:
1. Extended this to include other partners in Wessex, including Kate Pryde on behalf of Southampton Children’s Hospital and Prof Catherine Pope of the University of Southampton (both founding Qs). We have been working in partnership with Kate and Catherine for a couple of years on the involvement of patients and families in improvement, with specific reference to ensuring diversity in involvement. We will combine these projects
2. Catherine is a ‘researcher in residence’ and medical sociologist who has a long background in working in partnership to deliver improvement and evaluate change. She will be supporting us with the ‘live evaluation’ of this project.
3. We have shortened the bid for clarity
4. We have committed to extend this across Wessex and will be co-producing a ‘patients included’ in QI event in the Spring within the AHSN to share experiences and tips from this project and explore ways of extending it beyond Southampton.
We have an established QI training programme which takes a team approach to delivering improvement projects whilst attending some classroom based training. This programme has the patient and community voice at its heart, with teams supported to involve those that use the service to be involved in change. Many of the teams who come on the training already include patients or colleagues from other sectors. Similarly, our foundation training, our workshops and our events are all open to patients/ service users. Through an ongoing programme of evaluation, those participants have told us that this doesn’t always feel comfortable and that they’d like more support. They have made a number of suggestions around what would make them more confident and what would help them to feel fully involved.
Similarly, Southampton Children’s Hospital are forming a Youth forum to work with them on ongoing improvement.
The feedback from both of these programmes form the basis of this bid:
What we would like to do
1. Co-design and deliver a patient/ community training programme to support involvement in QI
2. Co-design different ways of delivering this so that involvement is accessible, inclusive and diverse (for example, can include those who don’t have English as a first language, who are homebound, who have cognitive or other disability.)
3. Establish a peer support network for those involved in QI
What we’ve co-produced (so far)..
We’ve already worked with patients and families who are involved and begun to shape our thinking. To date, we anticipate this project will include:
a. A bespoke programme of QI skills development for patients, families and colleagues from voluntary organisations.
b. This will include an introduction to how the NHS works, and where the services that they use fit within this
c. The development of a network for those involved in improvement, to allow for peer-support and buddying
d. Leadership training on how to talk about, explain, promote, influence around QI
e. Support for clinicians to engage with patients as equal partners in change
f. A sharing event in the Spring to extend the programme beyond Southampton into Wessex
How will we know it’s working?
We will run a ‘live evaluation’ through the new initiatives – as these are co-designed and produced we can constantly consider what is and what isn’t working, and adjust accordingly (PDSA!). We will look at outcomes of projects, but also the experiences of patients and staff. We have a fully interactive website and are active on social media, so will enthusiastically share developments, challenges and successes throughout the roll out of the programme.
More formally, this will be shared with our Q community and any resources will be fully and freely available to those who may find them useful.
Who will this benefit?
Everyone, we hope. It will help those patients that want to be involved in improvement to work confidently with our clinicians; it will give those clinicians the tools and confidence to work in partnership with their patients etc; and it will benefit the organisation as a whole by role modelling a positive and productive way of working. It should benefit the wider Q community, with shared learning, ideas, tips, resources and networks (beyond the traditional professional boundaries).
A bit about us
This is collaboration between Solent NHS Trust, Southampton Children’s Hospital, the University of Southampton, and NHS Elect. It will aligned to the Wessex Q network, supported by the Wessex Patient Safety Collaborative within the AHSN.
How you can contribute
- • Process and guidance on recruiting patients to be involved as equal partners in QI projects.
- • Learning and ideas on peer working/ buddy schemes
- • Access to network opportunities for our patient partners and other colleagues
- • Support with involving those with additional needs or whose voices are seldom heard
- • We’d be delighted to do this in partnership with anyone that may be interested?
This is a great project because…
This project is a nice example of QI capability building and peer support that involves staff and service users learning together, with academic links to help build rigour and evidence. The project has engaged well with feedback and links gained through Q Exchange.
By the time of the event we encourage the project team to think more about…
Developing more detailed plans for how learning will be shared through this programme as this is clearly an idea with broad potential.